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November 1, 1994Pacing and Clinical Electrophysiology

Long‐Term Follow‐Up of Patients with Single Lead VDD Stimulation

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Key result

A single lead VDD pacing system maintained >90% AV synchronized pacing in 87% of patients over a mean follow-up of 44 months, with 8.2% requiring reprogramming to VVI mode.

Why the study?

Does a single lead VDD pacing system provide reliable long-term AV synchronized pacing in patients with second- or third-degree AV block?

Population

85 patients (48 males, 37 females, mean age 74 +/- 9 years) with second- or third-degree Mobitz II AV block.

Design

Cohort

Follow-up

mean 44 months (range 2-56)

Authors

AFAntonio Franco FolinoUniversity of PaduaGBGianfranco BujaElectrophysiologyLRLuisa RuzzaUniversity of Padua

Discussion

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Overview

Single-lead VDD pacing may sustain AV synchrony in AV block; leaves open arrhythmia and sensing durability for randomized confirmation.

Study Design

Type

Cohort (n=85)

Structured PICO

Does a single lead VDD pacing system provide reliable long-term AV synchronized pacing in patients with second- or third-degree AV block?

P
Population
85 patients (mean age 74 years) with second- or third-degree Mobitz II AV block implanted with a single lead VDD pacing system, followed for a mean of 44 months.
E
Exposure
Single lead VDD pacing system (Phymos MPS) incorporating two atrial floating electrodes (Phymos 830-S).
O
Outcome
Percentage of AV synchronized pacing, presence of fusion beats due to short AV delay, and occurrence of supraventricular arrhythmias evaluated by Holter monitoring at 6-month intervals.surrogate

Single lead VDD pacing provides reliable long-term AV synchronization with a low rate of complications in patients with advanced AV block.

Cite This Study

Folino et al. (1994) conducted a cohort in Second- or third-degree Mobitz II AV block (n=85). Single lead VDD pacing system (Phymos MPS) was evaluated on Maintenance of >90% AV synchronized pacing. A single lead VDD pacing system maintained >90% AV synchronized pacing in 87% of patients over a mean follow-up of 44 months, with 8.2% requiring reprogramming to VVI mode.

synapsesocial.com/papers/6a6b02ca2ef98b0efacb45f8https://doi.org/10.1111/j.1540-8159.1994.tb03762.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Experience and Implantation Techniques with a New Single‐Pass Lead VDD Pacing System1990 · 45 citations
  2. 2DDD Pacemakers Maximize Hemodynamic Benefits and Minimize Complications for Most Patients1988 · 26 citations
  3. 3Incidence of arrhythmias after atrial or dual-chamber pacemaker implantation1989 · 20 citations
  4. 4Mitral valve closure and left ventricular filling time in patients with VDD pacemakers. Assessment of the onset of left ventricular systole and the end of diastole.1986 · 33 citations
  5. 5Optimal atrioventricular delay at rest and during exercise in patients with dual chamber pacemakers: a non-invasive assessment by continuous wave Doppler.1989 · 103 citations